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To the Editor.—
The communication by Dr Glass ("Early Debridement in Pit Viper Bites") contains a number of statements to which I take vigorous exception, his vast surgical experience notwithstanding.
First of all he states that, on envenomation, ischemia develops; he then goes on to recommend...
A young woman ingested approximately 13 gm of an over-the-counter acetaminophen preparation and died seven days later in profound coma. Postmortem findings included massive centrilobular hepatic necrosis and renal tubular necrosis. Although hepatotoxicity secondary to acetaminophen overdose is...
THE DIAGNOSIS of Neisseria meningitidis meningitis usually requires 48 to 72 hours for isolation and identification of the organism and serotyping to be performed. Determination of antimicrobial susceptibility takes an additional 24 to 48 hours. Moreover, many hospital laboratories are not...
To the Editor.—
The SPECIAL COMMUNICATION by Thomas G. Glass, Jr, MD, mentioned the use of cortisone, tourniquets, and ice bags. I think the following points are worth bringing out.
Cortisone has never been demonstrated to have any effect whatsoever on any snake venom known.Cortisone has never...
"Diseases of the Temporomandibular Joint" is, I believe, an appropriate title, with the substitution of the word "apparatus" for the word "joint." This then, can include the joint, muscles, teeth, bony anatomy, structures of the middle and inner ear, and psyche.
Anxiety is but one factor causing...
In a national surgical manpower questionnaire survey, 76% of those MD and DO surgeons who were contactable returned questionnaires that included a log diary reporting details of their daily activities.
Comparisons were made of allocation of professional time, number of operations performed, and...
In August 1974, 31 of 45 cases of Shigella sonnei infection in Dubuque, Iowa, were traced to swimming in an 8-km stretch of the Mississippi River. Comparison of the first case in each affected family with neighborhood controls showed a significant correlation between swimming and illness (P...
Mycobacterium kansasii was isolated from the spleen of a patient with "hairy cell leukemia" (HCL) who had caseating necrosis in the spleen and in the liver. The disseminated infection in this patient suggests a cellular immunity deficit. Despite intensive investigations, the nature of the cell...
I agree with the point made by Dr Meisel when he states "with the rare exception of some deadly epidemic." That is what I had in mind when I wrote: "If, however, not enough volunteers are available for minimal risk experimentation and the research seems of overriding importance to the public...
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